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Business Loan Application

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Be sure to write down this Personal Identification Number and keep it safe at all times so that you may re-access your form progress at a later date.

All sections must be completed before it can be submitted. For sections that do not apply to you, please indicate so with “N/A” or “none”, etc.

Your PIN:


Personal Identification

First Name:
Last Name:
Email:

Business Information


1.
Business Name:
2.
Business Industry:
3.
Is the business a Start-Up?
4.
Is it an existing business? If yes, for how many years?
5.
Is this a business purchase?
6.
What kind of business is it?
7.
Business Address:
8.
Business Phone:
9.
Business Email:
10.
Amount Requested: ($CAD)
11.
Purpose:
12.
Staff Current:
13.
Staff Expected:

Personal Information


14.
Full Name:
15.
Birthday (DD/MM/YYYY):
16.
Occupation:
17.
Address:
18.
Phone Number:
19.
Email:

Spousal Information


20.
Full Name:
21.
Birthday (DD/MM/YYYY):
22.
Occupation:
23.
Address:
24.
Phone Number:
25.
Email:

Financial Position

Monthly Income Sources


26.
Source Amount ($CAD)
Total: $0.00

Personal Assets


27.
Real Estate Owned: (Check all that apply)

Property 1


28.
Address:
29.
Mortgage Amount ($CAD):
30.
Amount Still Owing ($CAD):

Property 2


31.
Address:
32.
Mortgage Amount ($CAD):
33.
Amount Still Owing ($CAD):

Other


34.
Other Assets (vehicles, savings, etc) Amount ($CAD)
Total: $0.00

Debts


35.
Owing To Monthly Payment ($CAD) Amount Still Owing ($CAD)
Total: $0.00 $0.00

Business Assets (if applicable)


36.
Fill out for an Existing Business
Physical Assets ($CAD)
Receivables ($CAD)
Owner Equity/Retained Earnings ($CAD)
Land/Building ($CAD)
Total: $0.00

Business Debts (if applicable)


37.
Owing To Monthly Payment ($CAD) Amount Still Owing ($CAD)
Total: $0.00 $0.00

Funding

Other Sources of Funding


38.
Personal Investment, Other Bank Loans, Family, Etc. Amount ($CAD)
Total: $0.00

Itemization of CF Loan Funds


39.
What Will Be Purchased Amount ($CAD)
Total: $0.00

Personal & Business References

Reference #1


40.
Name:
41.
Relationship:
42.
Phone Number:

Reference #2


43.
Name:
44.
Relationship:
45.
Phone Number:

Reference #3


46.
Name:
47.
Relationship:
48.
Phone Number:

Terms & Conditions

The applicant certifies that the information provided herein is true, accurate and complete, and acknowledges that the CFDC will be relying on the information in considering this and any future applications for financing. If untrue, inaccurate or incomplete information is provided, the CFDC may, at is sole discretion, decline a loan application or, if a loan has already been granted, may cease disbursement of funds and demand the full repayment of the loan proceeds already disbursed.

Consents to Inquiry: The Applicant, and if applicable, the co-borrower(s) or guarantor(s), consent to CFDC making any inquiries and credit checks, including obtaining personal, business and corporate information about them (and their directors and officers, if incorporated, with the corporation declaring it has the authority to provide such consent on their behalf), from such persons, firms, corporations, government authorities, institutions or agencies as it deems necessary in order to reach a decision on any application or project under consideration, and to administer an eventual loan, if such is the case. The undersigned consent to the CFDC exchanging information with other financial institutions, or financial partners or agencies.

While the Applicant and if applicable, the co-borrower(s), or guarantor(s), are not required by law to consent to such inquiries and such information being obtained, their refusal to consent may prevent the CFDC from considering an application for financing. Pursuant to the provisions of the Privacy Act, subject to certain exceptions, the Applicant and if applicable, the co-borrower(s), or guarantor(s), (and their directors and officers, if incorporated), have the right of access to, and protection of, personal information that may be obtained by the CFDC. Application documents, agency reports and other information obtained by CFDC in connection with this application are the property of the CFDC-PNW.

Community Futures does not compete with regular or commercial lenders. CFDC may provide alternate financing for new or existing business ventures. Regular lenders and Business Development Bank of Canada must first decline your proposal. CFDC loan rates and terms may be less flexible than other lenders.


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